MR. CLIFFORD C SOUDER PHYSICIAN ASSISTANT
NPI 1679751200
Physician Assistant in Leesburg, VA
About Mr. Clifford C Souder Physician Assistant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CLIFFORD C SOUDER PHYSICIAN ASSISTANT (NPI 1679751200) is an individual physician assistant in Leesburg, Virginia, licensed in Virginia (0110003746) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bolling Afb, and is a graduate of University Of Nebraska College Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Clifford C Souder Physician Assistant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20176 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEESBURG, VA 20176
LEESBURG, VA 20176
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clifford Souder's NPI number?
The NPI number for Clifford Souder is 1679751200. It was assigned to this individual provider in the NPPES registry on February 6, 2008.
Where is Clifford Souder located?
Clifford Souder practices at 601 Potomac Station Dr NE, Leesburg, VA 20176. The listed phone number is (703) 840-1396.
What is Clifford Souder's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Clifford Souder enrolled in Medicare?
Yes. Clifford Souder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Clifford Souder was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
